[Anxiety and depression in headache patients. The example of managed care of chronic headache patients in Bavaria].
BACKGROUND
The prevalence of anxiety and depression and the influence of headache severity on these illnesses were examined in patients who were part of the managed care of headache in Bavaria.


METHODS
A total of 181 patients with headache were screened for anxiety and depression with the German version of the Hospital Anxiety and Depression Scale (HADS-D). Headache severity was evaluated using the Migraine Disability Assessment Questionnaire (MIDAS). Apart from purely descriptive evaluations, Spearman's coefficients of correlation were calculated.


RESULTS
Of the patients 22.7% and 44.7% obtained results at or above the limit of the normal range of depression and anxiety, respectively and 19.3% had results at or above the limit of the normal range for both illnesses. There were significant coefficients of correlation between the severity of headache and both anxiety and depression.


CONCLUSIONS
The results confirm the necessity for an interdisciplinary procedure in treating headache patients in order to achieve a successful therapy. Such a treatment can be realised with the concept of managed care.
Felbinger
J
J
Neurologische Klinik und Poliklinik, Klinikum Grosshadern der Ludwig-Maximilians-Universität München , Marchioninistr. 15, 81377 München, Deutschland. julia.felbinger@med.uni-muenchen.de
Reinisch
V M
VM
Sostak
P
P
Wallasch
T M
TM
Diener
H C
HC
Straube
A
A
D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D004185:Disability Evaluation; D005260:Female; D005858:Germany; D006261:Headache / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D010348:Patient Care Team; D010555:Personality Inventory; D012017:Referral and Consultation